I kekahi manawa, i ka makahiki 2007, i kekahi mau lā ma hope o ke kipa ʻana i ka nahele, ʻike wau i kahi ʻulaʻula oval ma koʻu wāwae, ma kahi o 4 × 7 cm. He aha ia manaʻo?
Ua hele au i ke keʻena kino, ʻaʻole hiki i kekahi ke hoʻoholo i ka maʻi. Aia wale nō ma ka ʻoihana dermatological i loaʻa pololei iaʻu me Lyme borreliosis. Ua kuhikuhi ʻia ka antibiotic roxithromycin. Inu au, nalowale ka ʻula.
Akā ma hope o kekahi mau lā, ua ʻike ʻia kahi apo oval ʻulaʻula ma kahi o 1,5 cm ākea, a puni ka oval ʻulaʻula mua. ʻO ia hoʻi, ʻaʻole i kōkua ka lāʻau. Ua kauoha hou ʻia au i ka antibiotic ceftriaxone 1 g no 10 mau lā, a ma hope ua hoʻōla hou au.
I kēia makahiki, ua maʻi koʻu hoa, ma hope o ka hele ʻana i ka nahele. He ʻulaʻula kona nahu ma kona poʻohiwi, a puni ke apo he 1-2 knm ka laulā a ma kahi o 7 knm ke anawaena. Ua kauoha ʻia ʻo ia i ka lāʻau antibiotic doxycycline no 3 mau pule, a ma hope ua ola ʻo ia.
E like me kā mākou e ʻike ai mai nā hiʻohiʻona, maʻamau kēia maʻi, a ma nā wahi āpau. Ua laha no hoi ma ko kakou Aina.
A i kēia manawa i nā kikoʻī hou aku e pili ana i ka maʻi ponoʻī. Hoʻokumu ʻia ia e kekahi mau ʻano bacteria mai ka genus Borrelia.
Aia nā pae 3 o ka maʻi:
1. ʻO ka maʻi kūloko, ke komo ka pathogen i ka ʻili ma hope o ka nahu ʻana o ka maʻi. ʻAʻole ʻike ke kanaka i kahi tick, akā ʻike mua i ka ʻulaʻula (30% o nā maʻi ʻaʻole i ʻike i kahi tick). I kekahi manawa piʻi ka wela o ke kino. He mea nui e hoʻomaopopo pono i kēia maʻi a hoʻomaka i ka mālama ʻana i ka manawa kūpono i mea e pale ai:
2. Ka puunaue ana o Borrelia i na kino like ole. I kēia wā, hiki ke hoʻopili ʻia ka ʻōnaehana nerve, ka puʻuwai. Aia nā ʻeha ma nā iwi, nā ʻiʻo, nā ʻiʻo, nā ʻeke periarticular. A laila hele mai:
3. Ka pio ʻana o kekahi okana a ʻōnaehana paha. ʻO kēia kaʻina hana mai kekahi mau mahina a i kekahi mau makahiki. He ʻano maʻamau ka ʻāʻī ʻana o nā ʻāʻī, hiki ke hoʻoulu i ka osteoporosis, cartilage thinning, etc.
No ka mālama ʻana i ka Lyme borreliosis i ka pae mua, lawa nā antibiotic māmā. A inā ua holomua ka maʻi, a laila pono e hoʻohana i nā lāʻau antibiotic kaumaha no ka manawa lōʻihi, pono nō hoʻi e mālama i nā pilikia.
Me ka lohi a i ʻole ka lawa ʻole o ka mālama ʻana, piʻi ka maʻi a lilo i mau. Hoʻemi ʻia ka hiki ke hana, hiki ke alakaʻi i ke kīnā.
